张立平从脾胃论治难治性痤疮的经验  

Zhang Liping's experience in treating refractory acne from spleen and stomach

作　　者：崔丽玉 张欢 赵玉清 马丽娜·阿新拜 张立平[1,2] CUI Liyu;ZHANG Huan;ZHAO Yuqing;AXINBAI Malina;ZHANG Liping(Department of Gastroenterology,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China;Graduate School of Beijing University of Chinese Medicine,Beijing 100029,China;Future Disease Center,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China)

机构地区：[1]北京中医药大学东方医院消化科,北京100078 [2]北京中医药大学研究生院,北京100029 [3]中国中医科学院西苑医院治未病中心,北京100091

出　　处：《上海中医药杂志》2025年第1期33-35,40,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：北京市自然科学基金项目(7212181)。

摘　　要：介绍张立平教授从脾胃论治难治性痤疮的经验。张教授临证中发现难治性痤疮患者的病因多见脾胃虚弱,脾胃运化失司,升清降浊不足,在外则肌肤失养,腠理闭阻,在内则阴火内生,上炎于表,而生痤疮,为里虚表实之证;治疗当补脾气虚之不足,清在表之伏阳;在补脾调气的基础上清泻在表之实邪,中病即止,后继以顾护脾胃收功,防止病情反复发作,临床取得良好疗效。并附验案1则。This paper introduced Professor Zhang Liping's experience in treating refractory acne from the spleen and stomach.Professor Zhang finds that the etiology of refractory acne patients is often characterized by weakness of the spleen and stomach.When the spleen and stomach are not in charge of transportation and transformation,and there is insufficient ascending and descending of clearing and turbidity,the skin loses nourishment and the skin is blocked,while inside the skin,yin fire grows internally and is inflamed on the surface,resulting in acne,which is an evidence of deficiency in the interior and solidity on the surface.The treatment of refractory acne is to replenish the deficiency of spleen qi and clear the ambient yang on the surface.On the basis of replenishing the spleen and regulating the qi,clearing and diarrhea in the surface of the"real"evil,stopping the disease,and then taking care of the spleen and stomach to prevent the recurrence of the disease,the good clinical effect is obtained.And a proven case is presented.

关 键 词：痤疮 皮肤病 中医药疗法 补气清表 专家经验 

分 类 号：R249[医药卫生—中医临床基础] R275.9[医药卫生—中医学]